Motor neurone disease in England 1996 to A geographical profile of mortality.

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Motor neurone disease in England 1996 to 2004. A geographical profile of mortality. Authors: Michael Goldacre, David Yeates, Leicester Gill, Myfanwy Griffith, Henry McGuinness, Daniel Meddings Published by: Unit of Health-Care Epidemiology, Oxford University, and South East England Public Health Observatory, 2005 This document provides a geographical profile of mortality from motor neurone disease in England. The geographical areas covered are the standard local authority areas of England. The period covered is January 1 1996 to December 31 2004. The data are analysed from mortality files supplied to the Public Health Observatories by the Office for National Statistics. This analysis includes mortality data about males and females of all ages. The maps, charts and tables show both-sexes-combined and sex-specific results, including standardised mortality ratios (SMRs). The first set provides the data for males and females combined, the second for males, and the third for females. Within each set, the data in the map are shown as quintiles of local authorities, with the one-fifth of local authorities with the lowest SMRs shown in the lightest colour and the one-fifth of local authorities with the highest SMRs shown in the darkest colour. The error-bar chart provides a plot of the values of the SMR for each local authority area. Each vertical line represents one local authority area. It shows the point estimate for the SMR for the area with its 95% confidence. At a glance, the error-bar charts show the spread of SMRs across England and the extent to which variation across the country is statistically significant.

The scatter-plot shows the SMR for each local authority area plotted against the local authorities score for the Index of Multiple Deprivation (IMD 2004). Within each set, the first table shows the individual values of SMRs for each local authority, with the local authorities ranked in alphabetical order. For each local authority, the information in the table provides data about mortality showing the observed number of people who died (Obs.); the expected number (Exp.), obtained by applying national age-sex-specific rates to the age-sex distribution of the local authority population; and the SMR, calculated by indirect standardisation, with the 95% lower and upper confidence limits for the rate. The first part of the first table shows SMRs for the disease as the underlying cause of death. The second part shows SMRs for the disease as any mention. The second table shows the local authority areas ranked according to the value of the SMR (ranked from lowest to highest ratio) for the disease as the underlying cause. The third table shows the local authority areas ranked according to the value of the SMR (ranked from lowest to highest ratio) for mentions. Some technical notes: Dataset used: UHCE-built file from SEPHO, template 6 Diagnosis codes used: ICD9 335.2; ICD10 G12.2 Diagnosis position: underlying cause; and al mentions Period covered: deaths from 1.1.1996 to 31.12.2004 Age/sex restriction: all ages, both sexes Place of residence at time of death: England

We are very grateful for technical and clerical support from Susan Flynn and for statistical advice from Valerie Seagroatt. David Yeates, Leicester Gill, Myfanwy Griffith, Susan Flynn and Valerie Seagroatt are funded by the NHS National Centre for Research Capacity Development. Henry McGuinness and Daniel Meddings are funded by the South East England Public Health Observatory. Copyright UHCE Oxford University and South East England Public Health Observatory. The maps are based on data provided through EDINA UKBORDERS with the support of the ESRC and JISC and use boundary material which is copyright of the Crown. Source: 2001 Census Output Area Boundaries. Crown copyright 2003. Crown copyright material is reproduced with the permission of the Controller of HMSO.

Motor neurone disease : average IMD score plotted against the SMR (underlying cause) for each local authority, Males 61.0 51.0 y = -0.0439x + 23.451 R 2 = 0.0191 Average IMD 2004 score. 41.0 31.0 21.0 11.0 1.0 0 50 100 150 200 250 SMR per 100 000 population

Motor neurone disease :SMR (underlying cause) for each local authority, Males 450 SMR per 100,000 with 95% confidence s. 400 350 300 250 200 150 100 50 0 local authorities

Label Mortality - 1996 to 2004 IMD 2004: Average Score Underlying cause Motor neurone disease, all ages, Males Mentions StHA GOR Obs. Exp. SMR Obs. Exp. SMR Ratio mentions to underlyin g cause N/A ALL ENGLAND 5910 5910.00 100.00 0.00 0.00 6917 6917.00 100.00 0.00 0.00 45UB Adur 17.0 Q19 J 5 8.86 56.43 18.32 131.68 7 10.47 66.86 26.88 137.76 1.40 16UB Allerdale 22.9 Q13 B 8 12.95 61.78 26.67 121.72 10 15.14 66.06 31.67 121.48 1.25 35UB Alnwick 16.1 Q09 A 9 4.59 196.29 89.75 372.62 9 5.37 167.67 76.66 318.30 1.00 17UB Amber Valley 18.9 Q24 E 14 15.14 92.50 50.57 155.20 18 17.69 101.78 60.32 160.85 1.29 45UC Arun 15.6 Q19 J 30 23.92 125.43 84.63 179.06 34 28.46 119.48 82.73 166.97 1.13 37UB Ashfield 27.8 Q24 E 17 13.65 124.55 72.56 199.42 19 15.92 119.37 71.87 186.41 1.12 29UB Ashford 13.4 Q18 J 10 12.72 78.61 37.69 144.57 10 14.90 67.11 32.18 123.42 1.00 11UB Aylesbury Vale 8.3 Q16 J 21 17.49 120.09 74.34 183.57 24 20.33 118.08 75.65 175.69 1.14 42UB Babergh 11.3 Q01 G 15 11.70 128.22 71.76 211.47 17 13.72 123.90 72.18 198.38 1.13 00AB Barking and Dagenham 31.3 Q06 H 13 17.03 76.35 40.65 130.55 17 19.99 85.04 49.54 136.15 1.31 00AC Barnet 16.1 Q05 H 36 33.48 107.51 75.29 148.85 45 39.36 114.34 83.39 152.99 1.25 00CC Barnsley 33.0 Q23 D 24 26.91 89.19 57.14 132.71 30 31.40 95.53 64.46 136.38 1.25 16UC Barrow-In-Furness 33.0 Q13 B 11 9.09 120.96 60.38 216.43 13 10.62 122.44 65.19 209.37 1.18 22UB Basildon 20.7 Q03 G 13 18.39 70.70 37.65 120.91 20 21.42 93.35 57.02 144.17 1.54 24UB Basingstoke and Deane 8.8 Q17 J 12 15.91 75.45 38.99 131.80 14 18.44 75.90 41.50 127.36 1.17 37UC Bassetlaw 25.7 Q24 E 13 13.73 94.70 50.42 161.94 18 16.01 112.42 66.63 177.67 1.38 00HA Bath and North East Somerset UA 12.2 Q20 K 29 22.25 130.35 87.30 187.20 35 26.17 133.73 93.14 186.00 1.21 09UD Bedford 17.5 Q02 G 14 16.93 82.70 45.21 138.76 18 19.78 91.00 53.93 143.82 1.29 35UC Berwick-upon-Tweed 21.2 Q09 A 6 4.21 142.50 52.30 310.14 7 4.95 141.41 56.85 291.37 1.17 00AD Bexley 15.0 Q07 H 25 25.77 97.02 62.79 143.23 30 30.17 99.44 67.09 141.96 1.20 00CN Birmingham 37.6 Q27 F 91 106.09 85.77 69.06 105.31 108 124.32 86.87 71.26 104.88 1.19 31UB Blaby 8.7 Q25 E 13 10.91 119.19 63.46 203.81 13 12.70 102.35 54.50 175.01 1.00 00EX Blackburn with Darwen UA 32.3 Q13 B 16 14.03 114.05 65.19 185.21 18 16.36 110.05 65.22 173.93 1.13 00EY Blackpool UA 33.9 Q13 B 21 20.23 103.82 64.26 158.69 25 23.73 105.33 68.17 155.49 1.19 35UD Blyth Valley 26.1 Q09 A 15 9.32 160.96 90.09 265.48 18 10.82 166.36 98.60 262.93 1.20 17UC Bolsover 30.5 Q24 E 10 9.51 105.19 50.44 193.45 12 11.12 107.94 55.78 188.55 1.20 00BL Bolton 29.4 Q14 B 23 29.77 77.26 48.98 115.93 28 34.71 80.66 53.60 116.58 1.22 32UB Boston 21.9 Q24 E 6 8.20 73.18 26.86 159.28 7 9.62 72.76 29.25 149.91 1.17 00HN Bournemouth UA 23.7 Q22 K 28 23.05 121.50 80.74 175.60 31 27.37 113.28 76.95 160.80 1.11 00MA Bracknell Forest UA 8.6 Q16 J 6 9.91 60.53 22.21 131.74 7 11.50 60.87 24.47 125.41 1.17 00CX Bradford 32.9 Q12 D 61 50.05 121.87 93.21 156.55 77 58.52 131.58 103.84 164.46 1.26 22UC Braintree 13.2 Q03 G 18 15.46 116.46 69.02 184.06 21 18.06 116.26 71.96 177.71 1.17

Label Mortality - 1996 to 2004 IMD 2004: Average Score Underlying cause Motor neurone disease, all ages, Males Mentions StHA GOR Obs. Exp. SMR Obs. Exp. SMR Ratio mentions to underlyin g cause N/A ALL ENGLAND 5910 5910.00 100.00 0.00 0.00 6917 6917.00 100.00 0.00 0.00 33UB Breckland 14.5 Q01 G 13 17.70 73.44 39.11 125.59 16 20.81 76.89 43.95 124.86 1.23 00AE Brent 26.0 Q04 H 15 24.54 61.11 34.20 100.80 19 28.56 66.52 40.05 103.88 1.27 22UD Brentwood 8.9 Q03 G 6 9.40 63.84 23.43 138.95 7 11.00 63.64 25.58 131.13 1.17 39UB Bridgnorth 12.3 Q26 F 9 7.19 125.11 57.20 237.49 10 8.39 119.22 57.17 219.25 1.11 00ML Brighton and Hove UA 25.7 Q19 J 33 28.74 114.83 79.03 161.26 36 33.88 106.25 74.40 147.10 1.09 00HB Bristol, City of UA 27.7 Q20 K 47 43.16 108.90 80.01 144.82 48 50.67 94.73 69.84 125.61 1.02 33UC Broadland 9.6 Q01 G 20 17.17 116.45 71.13 179.85 24 20.16 119.06 76.28 177.15 1.20 00AF Bromley 13.2 Q07 H 42 36.20 116.03 83.61 156.84 50 42.46 117.77 87.41 155.27 1.19 47UB Bromsgrove 10.1 Q28 F 16 11.81 135.45 77.42 219.96 18 13.80 130.48 77.33 206.21 1.13 26UB Broxbourne 14.7 Q02 G 7 9.98 70.15 28.20 144.53 11 11.62 94.64 47.24 169.33 1.57 37UD Broxtowe 16.0 Q24 E 16 13.66 117.15 66.96 190.25 17 15.95 106.58 62.09 170.65 1.06 30UD Burnley 31.8 Q13 B 9 10.33 87.09 39.82 165.32 11 12.08 91.04 45.45 162.90 1.22 00BM Bury 23.5 Q14 B 20 20.50 97.58 59.61 150.70 25 23.88 104.69 67.75 154.55 1.25 00CY Calderdale 25.4 Q12 D 15 22.50 66.67 37.31 109.96 18 26.29 68.46 40.58 108.20 1.20 12UB Cambridge 14.6 Q01 G 8 10.80 74.05 31.97 145.90 11 12.72 86.51 43.19 154.79 1.38 00AG Camden 34.7 Q05 H 20 17.43 114.77 70.10 177.24 25 20.37 122.76 79.44 181.21 1.25 41UB Cannock Chase 20.3 Q26 F 7 10.12 69.18 27.81 142.54 7 11.73 59.66 23.98 122.93 1.00 29UC Canterbury 16.2 Q18 J 15 18.39 81.58 45.66 134.55 21 21.72 96.68 59.84 147.78 1.40 15UB Caradon 18.4 Q21 K 11 11.68 94.17 47.01 168.49 13 13.71 94.83 50.49 162.16 1.18 16UD Carlisle 22.2 Q13 B 12 13.28 90.39 46.71 157.90 13 15.54 83.65 44.54 143.04 1.08 15UC Carrick 19.2 Q21 K 12 13.36 89.84 46.42 156.93 13 15.75 82.55 43.96 141.17 1.08 35UE Castle Morpeth 15.8 Q09 A 11 7.24 152.01 75.88 271.98 13 8.45 153.82 81.91 263.04 1.18 31UC Charnwood 12.1 Q25 E 21 18.01 116.63 72.19 178.28 27 21.04 128.35 84.58 186.75 1.29 22UF Chelmsford 8.6 Q03 G 19 18.29 103.86 62.53 162.19 22 21.32 103.19 64.66 156.22 1.16 23UB Cheltenham 14.4 Q20 K 16 13.53 118.22 67.57 191.98 19 15.92 119.32 71.84 186.33 1.19 38UB Cherwell 11.2 Q16 J 12 14.05 85.43 44.14 149.23 12 16.38 73.28 37.87 128.00 1.00 13UB Chester 17.0 Q15 B 17 15.51 109.62 63.86 175.52 19 18.16 104.62 62.99 163.38 1.12 17UD Chesterfield 27.1 Q24 E 12 12.95 92.69 47.90 161.91 16 15.16 105.57 60.34 171.45 1.33 20UB Chester-Le-Street 21.4 Q10 A 9 6.58 136.74 62.52 259.58 9 7.65 117.61 53.78 223.27 1.00 45UD Chichester 10.7 Q19 J 18 16.82 107.03 63.43 169.15 20 19.89 100.58 61.44 155.33 1.11 11UC Chiltern 6.2 Q16 J 15 11.82 126.86 71.00 209.23 17 13.82 122.99 71.65 196.93 1.13 30UE Chorley 17.2 Q13 B 9 11.54 78.02 35.67 148.11 9 13.38 67.26 30.75 127.68 1.00

Label Mortality - 1996 to 2004 IMD 2004: Average Score Underlying cause Motor neurone disease, all ages, Males Mentions StHA GOR Obs. Exp. SMR Obs. Exp. SMR Ratio mentions to underlyin g cause N/A ALL ENGLAND 5910 5910.00 100.00 0.00 0.00 6917 6917.00 100.00 0.00 0.00 19UC Christchurch 12.6 Q22 K 14 8.72 160.56 87.78 269.40 15 10.41 144.08 80.63 237.63 1.07 22UG Colchester 14.6 Q03 G 19 17.57 108.14 65.11 168.87 20 20.53 97.40 59.50 150.43 1.05 13UC Congleton 9.5 Q15 B 16 11.44 139.92 79.97 227.22 16 13.34 119.98 68.58 194.84 1.00 16UE Copeland 25.7 Q13 B 11 8.83 124.60 62.20 222.95 12 10.27 116.83 60.37 204.09 1.09 34UB Corby 27.1 Q25 E 6 5.98 100.38 36.84 218.47 6 6.96 86.24 31.65 187.70 1.00 23UC Cotswold 8.8 Q20 K 13 11.79 110.25 58.70 188.53 16 13.87 115.33 65.92 187.28 1.23 00CQ Coventry 28.2 Q28 F 34 34.75 97.83 67.74 136.72 39 40.77 95.65 68.01 130.76 1.15 36UB Craven 11.9 Q11 D 9 7.80 115.39 52.76 219.05 10 9.16 109.16 52.34 200.75 1.11 45UE Crawley 14.8 Q19 J 5 11.03 45.32 14.71 105.76 6 12.94 46.36 17.01 100.89 1.20 13UD Crewe and Nantwich 17.1 Q15 B 18 13.80 130.43 77.30 206.13 19 16.11 117.94 71.01 184.18 1.06 00AH Croydon 19.9 Q08 H 30 33.71 88.99 60.04 127.03 33 39.39 83.77 57.65 117.65 1.10 26UC Dacorum 9.5 Q02 G 17 16.13 105.42 61.41 168.79 22 18.83 116.82 73.21 176.86 1.29 00EH Darlington UA 24.6 Q10 A 10 12.28 81.45 39.06 149.79 11 14.36 76.58 38.23 137.03 1.10 29UD Dartford 17.2 Q18 J 12 9.49 126.44 65.34 220.86 15 11.05 135.69 75.94 223.80 1.25 34UC Daventry 10.2 Q25 E 11 8.20 134.20 66.99 240.12 11 9.52 115.50 57.66 206.66 1.00 00FK Derby UA 27.7 Q24 E 29 27.47 105.58 70.71 151.63 33 32.20 102.47 70.52 143.91 1.14 17UF Derbyshire Dales 12.5 Q24 E 12 10.03 119.61 61.81 208.93 14 11.73 119.34 65.24 200.23 1.17 20UD Derwentside 28.2 Q10 A 15 10.96 136.92 76.63 225.83 18 12.78 140.89 83.50 222.67 1.20 00CE Doncaster 31.5 Q23 D 35 35.61 98.27 68.44 136.68 40 41.55 96.26 68.76 131.08 1.14 29UE Dover 18.7 Q18 J 16 14.32 111.77 63.88 181.51 16 16.83 95.07 54.34 154.39 1.00 00CR Dudley 22.1 Q27 F 39 38.80 100.51 71.46 137.40 45 45.23 99.49 72.56 133.13 1.15 20UE Durham 18.5 Q10 A 13 9.99 130.19 69.32 222.63 13 11.61 111.97 59.62 191.47 1.00 00AJ Ealing 23.4 Q04 H 27 28.23 95.64 63.03 139.15 29 32.95 88.00 58.94 126.38 1.07 20UF Easington 41.8 Q10 A 14 11.97 116.98 63.96 196.28 15 13.96 107.47 60.15 177.25 1.07 12UC East Cambridgeshire 10.6 Q01 G 11 9.35 117.60 58.71 210.42 14 10.94 127.93 69.94 214.65 1.27 18UB East Devon 12.7 Q21 K 35 22.73 154.00 107.25 214.18 37 27.04 136.85 96.34 188.63 1.06 19UD East Dorset 8.2 Q22 K 14 15.22 91.98 50.29 154.34 15 18.05 83.10 46.51 137.07 1.07 24UC East Hampshire 8.1 Q17 J 14 13.51 103.66 56.67 173.93 14 15.79 88.69 48.49 148.80 1.00 26UD East Hertfordshire 6.3 Q02 G 26 14.27 182.26 119.06 267.06 29 16.60 174.73 117.02 250.94 1.12 32UC East Lindsey 24.6 Q24 E 22 21.97 100.16 62.77 151.64 25 25.81 96.85 62.68 142.97 1.14 34UD East Northamptonshire 11.8 Q25 E 7 9.07 77.20 31.03 159.06 7 10.59 66.08 26.56 136.15 1.00 00FB East Riding of Yorkshire UA 15.3 Q11 D 36 43.67 82.45 57.74 114.14 43 51.04 84.24 60.96 113.47 1.19

Label Mortality - 1996 to 2004 IMD 2004: Average Score Underlying cause Motor neurone disease, all ages, Males Mentions StHA GOR Obs. Exp. SMR Obs. Exp. SMR Ratio mentions to underlyin g cause N/A ALL ENGLAND 5910 5910.00 100.00 0.00 0.00 6917 6917.00 100.00 0.00 0.00 41UC East Staffordshire 18.5 Q26 F 11 12.48 88.11 43.98 157.66 15 14.56 102.99 57.64 169.87 1.36 21UC Eastbourne 21.5 Q19 J 15 13.94 107.57 60.20 177.42 20 16.65 120.16 73.40 185.57 1.33 24UD Eastleigh 8.9 Q17 J 12 13.29 90.28 46.65 157.70 19 15.51 122.51 73.76 191.32 1.58 13UE Ellesmere Port and Neston 19.8 Q15 B 5 10.04 49.81 16.17 116.24 8 11.70 68.40 29.53 134.78 1.60 43UB Elmbridge 7.0 Q19 J 25 15.06 165.95 107.40 244.97 30 17.69 169.57 114.41 242.08 1.20 00AK Enfield 23.1 Q05 H 18 28.55 63.05 37.37 99.64 22 33.39 65.88 41.29 99.74 1.22 22UH Epping Forest 13.3 Q03 G 5 15.59 32.08 10.41 74.85 6 18.26 32.86 12.06 71.52 1.20 43UC Epsom and Ewell 6.9 Q19 J 13 8.58 151.56 80.70 259.17 14 10.07 139.04 76.01 233.29 1.08 17UG Erewash 19.3 Q24 E 11 13.38 82.20 41.03 147.08 13 15.64 83.10 44.25 142.11 1.18 18UC Exeter 21.6 Q21 K 11 12.46 88.27 44.06 157.94 12 14.62 82.08 42.42 143.39 1.09 24UE Fareham 7.8 Q17 J 14 14.15 98.92 54.08 165.98 15 16.55 90.61 50.71 149.45 1.07 12UD Fenland 19.8 Q01 G 19 11.90 159.73 96.16 249.43 20 13.95 143.34 87.56 221.37 1.05 42UC Forest Heath 11.1 Q01 G 10 6.42 155.85 74.73 286.61 10 7.52 132.92 63.73 244.43 1.00 23UD Forest of Dean 15.9 Q20 K 12 10.65 112.72 58.25 196.91 17 12.42 136.87 79.73 219.14 1.42 30UF Fylde 13.1 Q13 B 12 11.44 104.88 54.20 183.20 14 13.49 103.81 56.75 174.17 1.17 00CH Gateshead 33.2 Q09 A 25 24.54 101.88 65.93 150.39 28 28.63 97.81 64.99 141.36 1.12 37UE Gedling 16.4 Q24 E 14 14.52 96.42 52.71 161.78 18 16.97 106.09 62.88 167.67 1.29 23UE Gloucester 19.9 Q20 K 17 12.58 135.14 78.72 216.37 18 14.72 122.27 72.47 193.25 1.06 24UF Gosport 16.3 Q17 J 11 8.74 125.83 62.81 225.14 12 10.24 117.15 60.54 204.65 1.09 29UG Gravesham 18.1 Q18 J 13 11.25 115.53 61.52 197.56 13 13.11 99.20 52.82 169.63 1.00 33UD Great Yarmouth 27.7 Q01 G 12 13.05 91.93 47.50 160.58 13 15.34 84.73 45.12 144.89 1.08 00AL Greenwich 31.5 Q07 H 15 20.67 72.57 40.61 119.69 17 24.20 70.25 40.92 112.48 1.13 43UD Guildford 8.3 Q19 J 18 14.96 120.34 71.32 190.20 20 17.52 114.17 69.74 176.32 1.11 00AM Hackney 45.1 Q06 H 9 15.90 56.61 25.89 107.47 11 18.51 59.43 29.67 106.33 1.22 00ET Halton UA 34.3 Q15 B 19 12.78 148.61 89.47 232.08 22 14.84 148.29 92.93 224.51 1.16 36UC Hambleton 10.4 Q11 D 11 11.62 94.65 47.25 169.36 12 13.59 88.31 45.63 154.26 1.09 00AN Hammersmith and Fulham 27.8 Q04 H 9 13.96 64.48 29.48 122.41 11 16.28 67.56 33.73 120.89 1.22 31UD Harborough 7.2 Q25 E 10 9.67 103.45 49.60 190.24 12 11.28 106.35 54.96 185.78 1.20 00AP Haringey 37.7 Q05 H 12 17.49 68.62 35.46 119.86 14 20.31 68.92 37.68 115.64 1.17 22UJ Harlow 21.4 Q03 G 8 8.49 94.22 40.68 185.66 8 9.91 80.75 34.87 159.12 1.00 36UD Harrogate 11.1 Q11 D 16 19.23 83.20 47.55 135.11 22 22.54 97.61 61.17 147.78 1.38 00AQ Harrow 13.5 Q04 H 21 22.66 92.66 57.35 141.63 23 26.58 86.53 54.86 129.84 1.10

Label Mortality - 1996 to 2004 IMD 2004: Average Score Underlying cause Motor neurone disease, all ages, Males Mentions StHA GOR Obs. Exp. SMR Obs. Exp. SMR Ratio mentions to underlyin g cause N/A ALL ENGLAND 5910 5910.00 100.00 0.00 0.00 6917 6917.00 100.00 0.00 0.00 24UG Hart 4.2 Q17 J 13 9.14 142.24 75.74 243.24 17 10.59 160.49 93.49 256.97 1.31 00EB Hartlepool UA 37.7 Q10 A 17 10.73 158.46 92.31 253.72 25 12.49 200.12 129.51 295.42 1.47 21UD Hastings 31.7 Q19 J 16 10.71 149.37 85.37 242.57 16 12.61 126.85 72.50 206.00 1.00 24UH Havant 20.1 Q17 J 16 16.16 99.03 56.60 160.82 20 18.94 105.57 64.49 163.04 1.25 00AR Havering 14.8 Q06 H 33 28.77 114.70 78.94 161.09 39 33.67 115.83 82.36 158.35 1.18 00GA Herefordshire, County of UA 15.7 Q28 F 25 25.07 99.71 64.53 147.20 27 29.43 91.74 60.46 133.49 1.08 26UE Hertsmere 12.0 Q02 G 10 11.45 87.35 41.88 160.63 13 13.46 96.60 51.44 165.19 1.30 17UH High Peak 15.1 Q24 E 15 10.80 138.91 77.74 229.10 18 12.60 142.91 84.70 225.87 1.20 00AS Hillingdon 17.7 Q04 H 29 25.87 112.10 75.08 161.00 33 30.27 109.01 75.03 153.10 1.14 31UE Hinckley and Bosworth 11.1 Q25 E 17 12.73 133.58 77.81 213.88 18 14.87 121.08 71.76 191.36 1.06 45UF Horsham 6.7 Q19 J 17 15.52 109.51 63.79 175.34 18 18.21 98.86 58.59 156.23 1.06 00AT Hounslow 23.3 Q04 H 14 19.85 70.52 38.56 118.33 17 23.14 73.46 42.79 117.61 1.21 12UE Huntingdonshire 10.2 Q01 G 21 17.08 122.99 76.13 188.00 22 19.85 110.85 69.47 167.83 1.05 30UG Hyndburn 28.5 Q13 B 7 9.31 75.22 30.24 154.99 8 10.87 73.59 31.77 145.00 1.14 42UD Ipswich 23.4 Q01 G 22 14.22 154.70 96.95 234.21 25 16.71 149.61 96.82 220.86 1.14 00MW Isle of Wight UA 21.1 Q17 J 19 20.79 91.41 55.03 142.74 22 24.53 89.67 56.20 135.77 1.16 00AU Islington 42.7 Q05 H 18 15.00 120.03 71.14 189.70 19 17.47 108.73 65.46 169.80 1.06 46UB Kennet 10.1 Q20 K 15 9.14 164.11 91.85 270.67 16 10.70 149.58 85.49 242.91 1.07 00AW Kensington and Chelsea 21.5 Q04 H 10 15.79 63.33 30.37 116.47 14 18.47 75.82 41.45 127.21 1.40 15UD Kerrier 25.2 Q21 K 18 13.31 135.27 80.17 213.79 19 15.61 121.73 73.29 190.09 1.06 34UE Kettering 15.3 Q25 E 14 9.51 147.21 80.48 247.00 14 11.09 126.27 69.03 211.86 1.00 33UE Kings Lynn and West Norfolk 19.1 Q01 G 22 21.27 103.45 64.83 156.62 26 25.03 103.89 67.86 152.22 1.18 00FA Kingston upon Hull, City of UA 41.1 Q11 D 26 28.05 92.68 60.54 135.79 31 32.79 94.54 64.22 134.19 1.19 00AX Kingston upon Thames 11.6 Q08 H 21 14.96 140.40 86.91 214.62 25 17.55 142.45 92.19 210.28 1.19 00CZ Kirklees 26.2 Q12 D 49 43.29 113.19 83.73 149.64 58 50.53 114.77 87.15 148.37 1.18 00BX Knowsley 46.6 Q15 B 18 16.12 111.69 66.19 176.51 20 18.71 106.91 65.31 165.12 1.11 00AY Lambeth 34.2 Q07 H 18 20.66 87.14 51.65 137.72 22 24.06 91.43 57.30 138.42 1.22 30UH Lancaster 22.3 Q13 B 13 17.00 76.47 40.72 130.76 19 19.99 95.06 57.23 148.45 1.46 00DA Leeds 27.7 Q12 D 79 81.25 97.23 76.97 121.18 96 95.16 100.88 81.71 123.19 1.22 00FN Leicester UA 32.8 Q25 E 31 28.60 108.39 73.63 153.86 39 33.57 116.18 82.61 158.83 1.26 21UF Lewes 12.9 Q19 J 11 14.38 76.52 38.20 136.91 14 17.01 82.29 44.99 138.08 1.27 00AZ Lewisham 28.6 Q07 H 18 21.38 84.17 49.89 133.03 20 24.99 80.03 48.88 123.59 1.11

Label Mortality - 1996 to 2004 IMD 2004: Average Score Underlying cause Motor neurone disease, all ages, Males Mentions StHA GOR Obs. Exp. SMR Obs. Exp. SMR Ratio mentions to underlyin g cause N/A ALL ENGLAND 5910 5910.00 100.00 0.00 0.00 6917 6917.00 100.00 0.00 0.00 41UD Lichfield 12.0 Q26 F 7 11.80 59.31 23.84 122.21 10 13.69 73.04 35.02 134.32 1.43 32UD Lincoln 27.2 Q24 E 9 9.72 92.56 42.32 175.70 10 11.41 87.64 42.02 161.17 1.11 00BY Liverpool 49.8 Q15 B 36 49.29 73.03 51.15 101.11 47 57.52 81.71 60.03 108.66 1.31 00KA Luton UA 23.3 Q02 G 19 18.44 103.03 62.03 160.90 23 21.43 107.30 68.02 161.01 1.21 13UG Macclesfield 11.1 Q15 B 12 20.46 58.65 30.31 102.45 13 23.94 54.30 28.91 92.86 1.08 29UH Maidstone 11.5 Q18 J 23 17.01 135.19 85.70 202.85 23 19.86 115.80 73.41 173.75 1.00 22UK Maldon 10.7 Q03 G 5 7.41 67.44 21.89 157.38 6 8.64 69.47 25.50 151.20 1.20 47UC Malvern Hills 13.1 Q28 F 8 11.20 71.46 30.85 140.80 10 13.16 75.97 36.43 139.70 1.25 00BN Manchester 48.9 Q14 B 35 41.27 84.81 59.07 117.96 40 48.30 82.81 59.15 112.77 1.14 37UF Mansfield 32.5 Q24 E 10 12.34 81.06 38.87 149.07 12 14.43 83.18 42.99 145.31 1.20 00LC Medway UA 18.0 Q18 J 22 25.27 87.07 54.56 131.82 24 29.33 81.83 52.43 121.75 1.09 31UG Melton 10.1 Q25 E 14 6.05 231.29 126.45 388.07 15 7.07 212.14 118.73 349.88 1.07 40UB Mendip 14.5 Q22 K 20 13.42 149.03 91.03 230.16 25 15.74 158.83 102.79 234.46 1.25 00BA Merton 14.5 Q08 H 13 18.34 70.89 37.75 121.22 17 21.46 79.21 46.14 126.82 1.31 09UC Mid Bedfordshire 7.7 Q02 G 6 13.28 45.19 16.58 98.35 7 15.44 45.33 18.22 93.40 1.17 18UD Mid Devon 17.1 Q21 K 11 9.86 111.51 55.67 199.53 11 11.58 94.97 47.41 169.94 1.00 42UE Mid Suffolk 9.8 Q01 G 17 11.95 142.21 82.84 227.69 20 14.01 142.73 87.19 220.43 1.18 45UG Mid Sussex 6.4 Q19 J 9 15.68 57.41 26.25 108.98 10 18.34 54.52 26.14 100.27 1.11 00EC Middlesborough UA 40.7 Q10 A 13 15.53 83.71 44.57 143.15 15 18.10 82.87 46.38 136.68 1.15 00MG Milton Keynes UA 15.6 Q16 J 22 18.25 120.56 75.55 182.53 23 21.13 108.86 69.01 163.35 1.05 43UE Mole Valley 6.2 Q19 J 17 11.42 148.86 86.71 238.34 19 13.42 141.57 85.23 221.08 1.12 24UJ New Forest 10.4 Q17 J 24 27.15 88.41 56.65 131.55 29 32.08 90.40 60.54 129.82 1.21 37UG Newark and Sherwood 19.8 Q24 E 22 14.00 157.17 98.50 237.96 30 16.34 183.55 123.84 262.03 1.36 00CJ Newcastle upon Tyne 34.5 Q09 A 34 30.60 111.12 76.94 155.28 41 35.86 114.34 82.05 155.13 1.21 41UE Newcastle-under-Lyme 19.9 Q26 F 12 15.48 77.54 40.07 135.45 16 18.07 88.52 50.60 143.75 1.33 00BB Newham 40.4 Q06 H 23 18.26 125.98 79.86 189.03 26 21.25 122.33 79.91 179.24 1.13 15UE North Cornwall 22.8 Q21 K 13 12.42 104.66 55.73 178.97 14 14.60 95.90 52.43 160.90 1.08 18UE North Devon 20.6 Q21 K 22 13.12 167.62 105.04 253.78 23 15.44 148.99 94.45 223.56 1.05 19UE North Dorset 11.4 Q22 K 6 8.99 66.77 24.50 145.32 7 10.61 65.99 26.53 135.97 1.17 17UJ North East Derbyshire 18.9 Q24 E 19 13.51 140.61 84.65 219.57 21 15.78 133.05 82.36 203.39 1.11 00FC North East Lincolnshire UA 29.4 Q11 D 17 19.50 87.17 50.78 139.56 20 22.79 87.74 53.60 135.51 1.18 26UF North Hertfordshire 10.1 Q02 G 18 14.21 126.68 75.08 200.21 24 16.64 144.22 92.40 214.59 1.33

Label Mortality - 1996 to 2004 IMD 2004: Average Score Underlying cause Motor neurone disease, all ages, Males Mentions StHA GOR Obs. Exp. SMR Obs. Exp. SMR Ratio mentions to underlyin g cause N/A ALL ENGLAND 5910 5910.00 100.00 0.00 0.00 6917 6917.00 100.00 0.00 0.00 32UE North Kesteven 11.5 Q24 E 17 13.15 129.25 75.29 206.94 18 15.40 116.87 69.27 184.71 1.06 00FD North Lincolnshire UA 21.2 Q11 D 14 19.75 70.89 38.76 118.94 19 23.05 82.44 49.64 128.75 1.36 33UF North Norfolk 16.9 Q01 G 23 17.82 129.06 81.82 193.66 27 21.07 128.15 84.45 186.46 1.17 39UC North Shropshire 16.6 Q26 F 14 7.75 180.64 98.76 303.08 15 9.07 165.44 92.59 272.87 1.07 00HC North Somerset UA 14.1 Q20 K 22 26.72 82.34 51.60 124.66 25 31.42 79.58 51.50 117.47 1.14 00CK North Tyneside 26.0 Q09 A 27 24.65 109.51 72.17 159.34 30 28.84 104.02 70.19 148.50 1.11 44UB North Warwickshire 16.4 Q28 F 7 7.62 91.86 36.93 189.27 8 8.87 90.22 38.95 177.77 1.14 31UH North West Leicestershire 15.9 Q25 E 9 10.84 83.04 37.97 157.63 9 12.65 71.17 32.54 135.10 1.00 46UC North Wiltshire 8.4 Q20 K 13 14.63 88.84 47.31 151.92 14 17.10 81.89 44.77 137.40 1.08 34UF Northampton 20.2 Q25 E 31 20.67 149.99 101.89 212.90 34 24.17 140.70 97.42 196.62 1.10 33UG Norwich 28.3 Q01 G 14 14.41 97.18 53.13 163.05 16 16.97 94.27 53.88 153.09 1.14 00FY Nottingham UA 41.8 Q24 E 32 28.72 111.41 76.19 157.28 34 33.70 100.88 69.85 140.97 1.06 44UC Nuneaton and Bedworth 21.2 Q28 F 11 14.01 78.54 39.21 140.53 15 16.29 92.07 51.53 151.85 1.36 31UJ Oadby and Wigston 9.7 Q25 E 9 7.19 125.25 57.27 237.76 10 8.41 118.91 57.02 218.67 1.11 00BP Oldham 30.7 Q14 B 21 23.93 87.75 54.32 134.13 28 27.91 100.33 66.67 145.00 1.33 39UD Oswestry 17.1 Q26 F 6 4.89 122.59 44.99 266.82 6 5.74 104.53 38.36 227.51 1.00 38UC Oxford 19.7 Q16 J 13 13.29 97.80 52.07 167.24 14 15.63 89.58 48.98 150.31 1.08 30UJ Pendle 27.6 Q13 B 10 10.16 98.38 47.18 180.93 14 11.87 117.94 64.48 197.89 1.40 15UF Penwith 29.0 Q21 K 11 9.73 113.01 56.41 202.20 12 11.45 104.77 54.14 183.02 1.09 00JA Peterborough UA 23.4 Q01 G 12 17.15 69.96 36.15 122.21 14 20.04 69.87 38.20 117.24 1.17 00HG Plymouth UA 26.2 Q21 K 34 28.45 119.49 82.74 166.98 38 33.32 114.05 80.70 156.55 1.12 00HP Poole UA 14.3 Q22 K 23 19.91 115.54 73.24 173.36 23 23.50 97.87 62.04 146.85 1.00 00MR Portsmouth UA 24.9 Q17 J 19 20.83 91.22 54.92 142.45 21 24.51 85.69 53.04 130.99 1.11 30UK Preston 28.5 Q13 B 18 14.39 125.07 74.13 197.67 20 16.81 119.01 72.70 183.80 1.11 19UG Purbeck 12.6 Q22 K 9 7.10 126.82 57.99 240.75 9 8.37 107.51 49.15 204.08 1.00 00MC Reading UA 18.8 Q16 J 10 13.99 71.48 34.28 131.46 12 16.36 73.35 37.91 128.14 1.20 00BC Redbridge 17.8 Q06 H 19 25.38 74.86 45.07 116.91 26 29.72 87.50 57.16 128.20 1.37 00EE Redcar and Cleveland UA 30.6 Q10 A 12 17.72 67.73 35.00 118.31 15 20.64 72.66 40.66 119.84 1.25 47UD Redditch 19.4 Q28 F 12 8.12 147.78 76.37 258.15 12 9.43 127.20 65.73 222.19 1.00 43UF Reigate and Banstead 9.0 Q19 J 20 15.41 129.82 79.30 200.50 23 18.08 127.21 80.64 190.87 1.15 15UG Restormel 23.9 Q21 K 19 13.69 138.81 83.57 216.78 20 16.06 124.53 76.07 192.33 1.05 30UL Ribble Valley 10.3 Q13 B 10 7.19 139.01 66.65 255.63 11 8.40 130.99 65.39 234.37 1.10

Label Mortality - 1996 to 2004 IMD 2004: Average Score Underlying cause Motor neurone disease, all ages, Males Mentions StHA GOR Obs. Exp. SMR Obs. Exp. SMR Ratio mentions to underlyin g cause N/A ALL ENGLAND 5910 5910.00 100.00 0.00 0.00 6917 6917.00 100.00 0.00 0.00 00BD Richmond upon Thames 9.7 Q08 H 19 18.45 102.98 62.00 160.81 22 21.63 101.73 63.75 154.02 1.16 36UE Richmondshire 12.5 Q11 D 5 5.61 89.10 28.92 207.92 5 6.56 76.24 24.75 177.92 1.00 00BQ Rochdale 33.7 Q14 B 21 22.45 93.55 57.90 143.00 29 26.16 110.88 74.26 159.24 1.38 22UL Rochford 8.7 Q03 G 7 10.50 66.66 26.80 137.35 8 12.28 65.16 28.13 128.38 1.14 30UM Rossendale 24.1 Q13 B 6 7.34 81.78 30.01 178.00 6 8.53 70.30 25.80 153.02 1.00 21UG Rother 16.2 Q19 J 22 16.01 137.39 86.10 208.02 25 19.08 131.04 84.80 193.43 1.14 00CF Rotherham 28.2 Q23 D 18 29.86 60.29 35.73 95.28 28 34.80 80.46 53.47 116.29 1.56 44UD Rugby 13.6 Q28 F 5 11.17 44.76 14.53 104.46 5 13.07 38.27 12.42 89.30 1.00 43UG Runnymede 7.8 Q19 J 8 9.51 84.10 36.31 165.71 12 11.14 107.73 55.67 188.18 1.50 37UJ Rushcliffe 9.0 Q24 E 14 13.18 106.22 58.07 178.22 16 15.41 103.82 59.34 168.60 1.14 24UL Rushmoor 10.4 Q17 J 8 8.20 97.51 42.10 192.14 9 9.55 94.21 43.07 178.83 1.13 00FP Rutland UA 6.6 Q25 E 7 4.44 157.51 63.32 324.53 7 5.19 134.90 54.23 277.94 1.00 36UF Ryedale 12.9 Q11 D 6 7.96 75.34 27.65 163.99 8 9.36 85.44 36.89 168.35 1.33 00BR Salford 38.2 Q14 B 20 25.66 77.95 47.62 120.39 25 29.97 83.40 53.98 123.12 1.25 46UD Salisbury 11.8 Q20 K 19 15.12 125.66 75.66 196.24 22 17.76 123.86 77.62 187.53 1.16 00CS Sandwell 35.4 Q27 F 24 34.20 70.18 44.97 104.42 34 40.00 85.01 58.86 118.79 1.42 36UG Scarborough 24.1 Q11 D 15 16.23 92.42 51.72 152.43 20 19.10 104.71 63.96 161.71 1.33 20UG Sedgefield 29.1 Q10 A 9 10.94 82.28 37.62 156.20 13 12.74 102.04 54.33 174.49 1.44 40UC Sedgemoor 17.4 Q22 K 12 15.05 79.73 41.20 139.27 16 17.67 90.56 51.76 147.06 1.33 00CA Sefton 26.1 Q15 B 35 37.20 94.08 65.52 130.84 39 43.58 89.50 63.63 122.35 1.11 36UH Selby 13.1 Q11 D 12 9.13 131.46 67.93 229.63 13 10.64 122.17 65.05 208.91 1.08 29UK Sevenoaks 9.6 Q18 J 10 14.41 69.41 33.28 127.64 14 16.85 83.08 45.42 139.40 1.40 00CG Sheffield 28.4 Q23 D 68 61.95 109.77 85.23 139.16 77 72.66 105.98 83.63 132.46 1.13 29UL Shepway 20.8 Q18 J 8 13.69 58.43 25.23 115.12 11 16.14 68.17 34.03 121.98 1.38 39UE Shrewsbury and Atcham 15.7 Q26 F 18 12.43 144.83 85.84 228.90 19 14.57 130.41 78.51 203.65 1.06 00CT Solihull 16.4 Q27 F 27 25.51 105.82 69.74 153.97 28 29.80 93.97 62.44 135.82 1.04 09UE South Bedfordshire 12.3 Q02 G 10 12.71 78.65 37.71 144.64 16 14.78 108.29 61.89 175.85 1.60 11UE South Bucks 8.1 Q16 J 7 8.40 83.33 33.50 171.71 8 9.82 81.50 35.19 160.58 1.14 12UG South Cambridgeshire 6.4 Q01 G 19 15.81 120.21 72.38 187.73 22 18.48 119.07 74.62 180.27 1.16 17UK South Derbyshire 14.8 Q24 E 8 9.60 83.32 35.97 164.17 9 11.19 80.45 36.78 152.73 1.13 00HD South Gloucestershire UA 9.8 Q20 K 33 28.23 116.91 80.46 164.19 37 32.87 112.58 79.25 155.18 1.12 18UG South Hams 14.2 Q21 K 15 12.58 119.20 66.71 196.61 16 14.81 108.03 61.74 175.43 1.07

Label Mortality - 1996 to 2004 IMD 2004: Average Score Underlying cause Motor neurone disease, all ages, Males Mentions StHA GOR Obs. Exp. SMR Obs. Exp. SMR Ratio mentions to underlyin g cause N/A ALL ENGLAND 5910 5910.00 100.00 0.00 0.00 6917 6917.00 100.00 0.00 0.00 32UF South Holland 15.3 Q24 E 7 12.15 57.59 23.15 118.66 11 14.27 77.08 38.48 137.92 1.57 32UG South Kesteven 12.2 Q24 E 19 15.90 119.51 71.95 186.63 21 18.60 112.88 69.87 172.55 1.11 16UG South Lakeland 12.0 Q13 B 13 15.54 83.64 44.53 143.02 14 18.27 76.63 41.90 128.58 1.08 33UH South Norfolk 10.7 Q01 G 21 16.67 125.94 77.96 192.52 22 19.58 112.34 70.40 170.08 1.05 34UG South Northamptonshire 6.6 Q25 E 5 9.35 53.50 17.37 124.85 6 10.88 55.16 20.25 120.06 1.20 38UD South Oxfordshire 7.7 Q16 J 24 15.46 155.26 99.48 231.01 31 18.06 171.63 116.59 243.63 1.29 30UN South Ribble 14.0 Q13 B 13 12.59 103.28 54.99 176.60 14 14.66 95.51 52.22 160.26 1.08 39UF South Shropshire 15.5 Q26 F 6 6.61 90.74 33.30 197.50 7 7.76 90.16 36.25 185.77 1.17 40UD South Somerset 13.7 Q22 K 29 21.73 133.46 89.38 191.68 31 25.58 121.21 82.34 172.06 1.07 41UF South Staffordshire 11.7 Q26 F 11 13.73 80.11 39.99 143.33 16 15.96 100.27 57.31 162.83 1.45 00CL South Tyneside 33.1 Q09 A 23 19.74 116.51 73.86 174.82 26 23.08 112.66 73.59 165.07 1.13 00MS Southampton UA 23.7 Q17 J 29 23.71 122.31 81.92 175.66 36 27.82 129.40 90.62 179.15 1.24 00KF Southend-On-Sea UA 21.7 Q03 G 26 21.27 122.26 79.87 179.14 29 25.12 115.43 77.31 165.78 1.12 00BE Southwark 35.4 Q07 H 20 21.02 95.13 58.11 146.91 22 24.53 89.70 56.22 135.81 1.10 43UH Spelthorne 10.4 Q19 J 16 11.64 137.49 78.58 223.27 17 13.62 124.79 72.69 199.80 1.06 26UG St. Albans 7.7 Q02 G 6 15.09 39.77 14.60 86.56 7 17.62 39.72 15.97 81.84 1.17 42UF St. Edmundsbury 11.5 Q01 G 11 12.52 87.88 43.87 157.24 16 14.65 109.19 62.41 177.32 1.45 00BZ St. Helens 32.0 Q15 B 22 21.02 104.66 65.59 158.46 27 24.41 110.63 72.90 160.96 1.23 41UG Stafford 12.9 Q26 F 14 15.99 87.56 47.87 146.91 17 18.68 91.02 53.02 145.74 1.21 41UH Staffordshire Moorlands 16.5 Q26 F 11 12.99 84.69 42.28 151.54 12 15.15 79.23 40.94 138.41 1.09 26UH Stevenage 15.6 Q02 G 13 8.25 157.61 83.92 269.51 16 9.61 166.43 95.12 270.26 1.23 00BS Stockport 18.1 Q14 B 32 34.91 91.67 62.69 129.42 40 40.76 98.14 70.10 133.64 1.25 00EF Stockton-On-Tees UA 26.3 Q10 A 26 20.43 127.27 83.14 186.48 27 23.74 113.73 74.95 165.47 1.04 00GL Stoke-On-Trent UA 35.3 Q26 F 24 28.99 82.80 53.05 123.20 27 33.87 79.72 52.54 115.99 1.13 44UE Stratford-On-Avon 8.8 Q28 F 18 15.62 115.21 68.28 182.08 21 18.27 114.96 71.16 175.74 1.17 23UF Stroud 10.2 Q20 K 12 14.49 82.80 42.78 144.63 13 16.99 76.51 40.74 130.84 1.08 42UG Suffolk Coastal 11.5 Q01 G 15 17.38 86.30 48.30 142.34 17 20.48 83.01 48.36 132.92 1.13 00CM Sunderland 34.2 Q09 A 30 33.28 90.14 60.82 128.68 41 38.72 105.90 75.99 143.67 1.37 43UJ Surrey Heath 4.9 Q19 J 11 8.99 122.40 61.10 219.02 11 10.42 105.59 52.71 188.93 1.00 00BF Sutton 13.3 Q08 H 15 19.23 78.02 43.67 128.69 17 22.52 75.47 43.97 120.84 1.13 29UM Swale 20.9 Q18 J 11 14.54 75.63 37.75 135.33 13 16.96 76.63 40.80 131.04 1.18 00HX Swindon UA 17.2 Q20 K 18 19.51 92.27 54.69 145.83 21 22.72 92.43 57.21 141.29 1.17

Label Mortality - 1996 to 2004 IMD 2004: Average Score Underlying cause Motor neurone disease, all ages, Males Mentions StHA GOR Obs. Exp. SMR Obs. Exp. SMR Ratio mentions to underlyin g cause N/A ALL ENGLAND 5910 5910.00 100.00 0.00 0.00 6917 6917.00 100.00 0.00 0.00 00BT Tameside 29.8 Q14 B 17 24.24 70.14 40.86 112.30 25 28.26 88.47 57.26 130.60 1.47 41UK Tamworth 19.7 Q26 F 7 7.11 98.39 39.55 202.72 7 8.22 85.16 34.24 175.48 1.00 43UK Tandridge 8.3 Q19 J 10 10.25 97.52 46.76 179.33 14 12.03 116.42 63.65 195.34 1.40 40UE Taunton Deane 16.3 Q22 K 15 13.95 107.50 60.16 177.30 16 16.42 97.45 55.70 158.26 1.07 20UH Teesdale 16.4 Q10 A 5 3.49 143.35 46.53 334.52 5 4.08 122.60 39.80 286.10 1.00 18UH Teignbridge 17.0 Q21 K 19 18.72 101.51 61.12 158.53 21 22.09 95.07 58.85 145.33 1.11 00GF Telford and Wrekin UA 21.8 Q26 F 11 16.00 68.74 34.31 122.99 12 18.57 64.62 33.39 112.89 1.09 22UN Tendring 23.1 Q03 G 23 24.53 93.77 59.45 140.71 24 29.11 82.45 52.83 122.68 1.04 24UN Test Valley 8.7 Q17 J 10 13.02 76.80 36.83 141.23 11 15.18 72.47 36.18 129.68 1.10 23UG Tewkesbury 10.1 Q20 K 7 10.39 67.35 27.07 138.77 10 12.18 82.09 39.36 150.96 1.43 29UN Thanet 25.6 Q18 J 21 18.96 110.78 68.57 169.35 25 22.44 111.39 72.09 164.43 1.19 26UJ Three Rivers 9.4 Q02 G 9 10.37 86.82 39.70 164.82 10 12.16 82.23 39.43 151.23 1.11 00KG Thurrock UA 21.2 Q03 G 19 14.45 131.47 79.15 205.30 20 16.80 119.01 72.70 183.80 1.05 29UP Tonbridge and Malling 9.6 Q18 J 17 12.79 132.95 77.45 212.87 23 14.89 154.44 97.90 231.74 1.35 00HH Torbay UA 23.7 Q21 K 25 20.15 124.10 80.31 183.19 28 23.85 117.40 78.01 169.67 1.12 18UK Torridge 21.4 Q21 K 11 9.06 121.48 60.64 217.36 12 10.63 112.91 58.35 197.24 1.09 00BG Tower Hamlets 45.9 Q06 H 9 15.54 57.92 26.48 109.96 10 18.11 55.21 26.48 101.54 1.11 00BU Trafford 20.2 Q14 B 20 25.53 78.33 47.85 120.98 26 29.89 86.99 56.82 127.46 1.30 29UQ Tunbridge Wells 10.5 Q18 J 11 12.51 87.94 43.90 157.34 13 14.64 88.78 47.27 151.82 1.18 35UF Tynedale 15.5 Q09 A 5 8.06 62.01 20.13 144.70 8 9.43 84.86 36.64 167.22 1.60 22UQ Uttlesford 6.7 Q03 G 11 8.58 128.18 63.98 229.35 14 10.02 139.79 76.43 234.55 1.27 38UE Vale of White Horse 6.9 Q16 J 12 14.17 84.71 43.78 147.98 18 16.55 108.73 64.44 171.85 1.50 13UH Vale Royal 17.1 Q15 B 12 14.89 80.60 41.65 140.80 13 17.36 74.88 39.87 128.04 1.08 00DB Wakefield 29.1 Q12 D 36 37.24 96.67 67.70 133.84 41 43.40 94.47 67.79 128.17 1.14 00CU Walsall 29.4 Q27 F 34 31.11 109.30 75.68 152.74 41 36.25 113.09 81.15 153.43 1.21 00BH Waltham Forest 30.2 Q06 H 23 20.07 114.59 72.64 171.94 28 23.46 119.35 79.31 172.49 1.22 00BJ Wandsworth 20.9 Q08 H 10 22.18 45.08 21.62 82.90 16 25.94 61.67 35.25 100.15 1.60 35UG Wansbeck 30.5 Q09 A 9 7.97 112.97 51.65 214.46 12 9.31 128.96 66.64 225.27 1.33 00EU Warrington UA 19.4 Q15 B 27 21.62 124.91 82.31 181.74 28 25.15 111.35 73.99 160.93 1.04 44UF Warwick 12.6 Q28 F 18 15.71 114.59 67.92 181.11 18 18.40 97.85 57.99 154.65 1.00 26UK Watford 14.5 Q02 G 13 8.05 161.49 85.99 276.14 14 9.40 148.97 81.44 249.95 1.08 42UH Waveney 21.8 Q01 G 17 17.33 98.08 57.13 157.04 19 20.46 92.86 55.91 145.01 1.12

Label Mortality - 1996 to 2004 IMD 2004: Average Score Underlying cause Motor neurone disease, all ages, Males Mentions StHA GOR Obs. Exp. SMR Obs. Exp. SMR Ratio mentions to underlyin g cause N/A ALL ENGLAND 5910 5910.00 100.00 0.00 0.00 6917 6917.00 100.00 0.00 0.00 43UL Waverley 6.2 Q19 J 22 15.19 144.86 90.78 219.32 25 17.85 140.09 90.66 206.80 1.14 21UH Wealden 9.4 Q19 J 19 21.14 89.87 54.11 140.34 24 24.95 96.20 61.64 143.14 1.26 20UJ Wear Valley 32.6 Q10 A 9 8.00 112.53 51.45 213.63 11 9.34 117.81 58.81 210.80 1.22 26UL Welwyn Hatfield 12.6 Q02 G 8 12.22 65.48 28.27 129.01 9 14.34 62.76 28.70 119.14 1.13 00MB West Berkshire UA 7.9 Q16 J 17 15.85 107.23 62.46 171.68 18 18.45 97.58 57.83 154.22 1.06 18UL West Devon 16.3 Q21 K 9 7.29 123.46 56.45 234.36 9 8.55 105.23 48.11 199.76 1.00 19UH West Dorset 13.3 Q22 K 10 15.64 63.94 30.66 117.59 12 18.50 64.86 33.51 113.29 1.20 30UP West Lancashire 21.1 Q13 B 15 13.31 112.70 63.07 185.88 17 15.48 109.83 63.98 175.85 1.13 32UH West Lindsey 17.7 Q24 E 10 11.44 87.39 41.90 160.71 12 13.38 89.70 46.35 156.69 1.20 38UF West Oxfordshire 6.3 Q16 J 12 11.87 101.11 52.25 176.62 15 13.89 107.98 60.43 178.09 1.25 46UF West Wiltshire 12.0 Q20 K 20 15.31 130.61 79.79 201.72 25 17.95 139.27 90.13 205.59 1.25 00BK Westminster 31.7 Q04 H 10 19.98 50.06 24.00 92.06 12 23.36 51.37 26.55 89.73 1.20 19UJ Weymouth and Portland 21.2 Q22 K 10 8.86 112.92 54.14 207.65 12 10.42 115.20 59.53 201.23 1.20 00BW Wigan 29.3 Q14 B 35 34.52 101.39 70.61 141.02 41 40.05 102.37 73.45 138.88 1.17 24UP Winchester 7.0 Q17 J 12 13.80 86.97 44.94 151.92 13 16.19 80.31 42.76 137.34 1.08 00ME Windsor and Maidenhead UA 8.2 Q16 J 21 16.07 130.64 80.87 199.70 24 18.76 127.92 81.96 190.33 1.14 00CB Wirral 30.1 Q15 B 40 40.54 98.66 70.48 134.36 49 47.49 103.17 76.32 136.40 1.23 43UM Woking 7.3 Q19 J 12 9.96 120.47 62.25 210.44 13 11.62 111.84 59.55 191.25 1.08 00MF Wokingham UA 5.1 Q16 J 20 15.52 128.90 78.74 199.07 21 17.97 116.88 72.35 178.67 1.05 00CW Wolverhampton 32.2 Q27 F 24 29.81 80.52 51.59 119.80 30 34.93 85.88 57.94 122.60 1.25 47UE Worcester 17.7 Q28 F 13 10.14 128.22 68.27 219.25 15 11.84 126.72 70.92 209.01 1.15 45UH Worthing 15.7 Q19 J 16 14.27 112.11 64.08 182.06 19 17.00 111.76 67.28 174.53 1.19 47UF Wychavon 11.3 Q28 F 10 15.53 64.41 30.88 118.45 11 18.15 60.62 30.26 108.47 1.10 11UF Wycombe 9.7 Q16 J 16 18.20 87.93 50.26 142.80 21 21.21 99.02 61.29 151.36 1.31 30UQ Wyre 17.8 Q13 B 13 16.30 79.77 42.48 136.41 17 19.16 88.74 51.69 142.08 1.31 47UG Wyre Forest 17.8 Q28 F 12 12.63 95.02 49.10 165.98 14 14.72 95.08 51.98 159.53 1.17 00FF York UA 14.5 Q11 D 20 22.12 90.42 55.23 139.64 21 25.94 80.96 50.12 123.76 1.05

Motor neurone disease : SMR for each local authority (underlying cause) - sorted from highest to lowest, Males SMR Melton 126.45 388.07 231.29 Alnwick 89.75 372.62 196.29 East Hertfordshire 119.06 267.06 182.26 North Shropshire 98.76 303.08 180.64 North Devon 105.04 253.78 167.62 Elmbridge 107.40 244.97 165.95 Kennet 91.85 270.67 164.11 Watford 85.99 276.14 161.49 Blyth Valley 90.09 265.48 160.96 Christchurch 87.78 269.40 160.56 Fenland 96.16 249.43 159.73 Hartlepool UA 92.31 253.72 158.46 Stevenage 83.92 269.51 157.61 Rutland UA 63.32 324.53 157.51 Newark and Sherwood 98.50 237.96 157.17 Forest Heath 74.73 286.61 155.85 South Oxfordshire 99.48 231.01 155.26 Ipswich 96.95 234.21 154.70 East Devon 107.25 214.18 154.00 Castle Morpeth 75.88 271.98 152.01 Epsom and Ewell 80.70 259.17 151.56 Northampton 101.89 212.90 149.99 Hastings 85.37 242.57 149.37 Mendip 91.03 230.16 149.03 Mole Valley 86.71 238.34 148.86 Halton UA 89.47 232.08 148.61 Redditch 76.37 258.15 147.78 Kettering 80.48 247.00 147.21 Waverley 90.78 219.32 144.86 Shrewsbury and Atcham 85.84 228.90 144.83 Teesdale 46.53 334.52 143.35 Berwick-upon-Tweed 52.30 310.14 142.50 Hart 75.74 243.24 142.24 Mid Suffolk 82.84 227.69 142.21 North East Derbyshire 84.65 219.57 140.61 Kingston upon Thames 86.91 214.62 140.40 Congleton 79.97 227.22 139.92 Ribble Valley 66.65 255.63 139.01 High Peak 77.74 229.10 138.91 Restormel 83.57 216.78 138.81 Spelthorne 78.58 223.27 137.49 Rother 86.10 208.02 137.39 Derwentside 76.63 225.83 136.92 Chester-Le-Street 62.52 259.58 136.74 Bromsgrove 77.42 219.96 135.45 Kerrier 80.17 213.79 135.27 Maidstone 85.70 202.85 135.19 Gloucester 78.72 216.37 135.14 Daventry 66.99 240.12 134.20 Hinckley and Bosworth 77.81 213.88 133.58 South Somerset 89.38 191.68 133.46 Tonbridge and Malling 77.45 212.87 132.95 Thurrock UA 79.15 205.30 131.47 Selby 67.93 229.63 131.46 Windsor and Maidenhead UA 80.87 199.70 130.64

Motor neurone disease : SMR for each local authority (underlying cause) - sorted from highest to lowest, Males SMR West Wiltshire 79.79 201.72 130.61 Crewe and Nantwich 77.30 206.13 130.43 Bath and North East Somerset UA 87.30 187.20 130.35 Durham 69.32 222.63 130.19 Reigate and Banstead 79.30 200.50 129.82 North Kesteven 75.29 206.94 129.25 North Norfolk 81.82 193.66 129.06 Wokingham UA 78.74 199.07 128.90 Babergh 71.76 211.47 128.22 Worcester 68.27 219.25 128.22 Uttlesford 63.98 229.35 128.18 Stockton-On-Tees UA 83.14 186.48 127.27 Chiltern 71.00 209.23 126.86 Purbeck 57.99 240.75 126.82 North Hertfordshire 75.08 200.21 126.68 Dartford 65.34 220.86 126.44 Newham 79.86 189.03 125.98 South Norfolk 77.96 192.52 125.94 Gosport 62.81 225.14 125.83 Salisbury 75.66 196.24 125.66 Arun 84.63 179.06 125.43 Oadby and Wigston 57.27 237.76 125.25 Bridgnorth 57.20 237.49 125.11 Preston 74.13 197.67 125.07 Warrington UA 82.31 181.74 124.91 Copeland 62.20 222.95 124.60 Ashfield 72.56 199.42 124.55 Torbay UA 80.31 183.19 124.10 West Devon 56.45 234.36 123.46 Huntingdonshire 76.13 188.00 122.99 Oswestry 44.99 266.82 122.59 Surrey Heath 61.10 219.02 122.40 Southampton UA 81.92 175.66 122.31 Southend-On-Sea UA 79.87 179.14 122.26 Bradford 93.21 156.55 121.87 Bournemouth UA 80.74 175.60 121.50 Torridge 60.64 217.36 121.48 Barrow-In-Furness 60.38 216.43 120.96 Milton Keynes UA 75.55 182.53 120.56 Woking 62.25 210.44 120.47 Guildford 71.32 190.20 120.34 South Cambridgeshire 72.38 187.73 120.21 Aylesbury Vale 74.34 183.57 120.09 Islington 71.14 189.70 120.03 Derbyshire Dales 61.81 208.93 119.61 South Kesteven 71.95 186.63 119.51 Plymouth UA 82.74 166.98 119.49 South Hams 66.71 196.61 119.20 Blaby 63.46 203.81 119.19 Cheltenham 67.57 191.98 118.22 East Cambridgeshire 58.71 210.42 117.60 Broxtowe 66.96 190.25 117.15 Easington 63.96 196.28 116.98 South Gloucestershire UA 80.46 164.19 116.91 Charnwood 72.19 178.28 116.63

Motor neurone disease : SMR for each local authority (underlying cause) - sorted from highest to lowest, Males SMR South Tyneside 73.86 174.82 116.51 Braintree 69.02 184.06 116.46 Broadland 71.13 179.85 116.45 Bromley 83.61 156.84 116.03 Poole UA 73.24 173.36 115.54 Gravesham 61.52 197.56 115.53 Craven 52.76 219.05 115.39 Stratford-On-Avon 68.28 182.08 115.21 Brighton and Hove UA 79.03 161.26 114.83 Camden 70.10 177.24 114.77 Havering 78.94 161.09 114.70 Warwick 67.92 181.11 114.59 Waltham Forest 72.64 171.94 114.59 Blackburn with Darwen UA 65.19 185.21 114.05 Kirklees 83.73 149.64 113.19 Penwith 56.41 202.20 113.01 Wansbeck 51.65 214.46 112.97 Weymouth and Portland 54.14 207.65 112.92 Forest of Dean 58.25 196.91 112.72 West Lancashire 63.07 185.88 112.70 Wear Valley 51.45 213.63 112.53 Worthing 64.08 182.06 112.11 Hillingdon 75.08 161.00 112.10 Dover 63.88 181.51 111.77 Knowsley 66.19 176.51 111.69 Mid Devon 55.67 199.53 111.51 Nottingham UA 76.19 157.28 111.41 Newcastle upon Tyne 76.94 155.28 111.12 Thanet 68.57 169.35 110.78 Cotswold 58.70 188.53 110.25 Sheffield 85.23 139.16 109.77 Chester 63.86 175.52 109.62 North Tyneside 72.17 159.34 109.51 Horsham 63.79 175.34 109.51 Walsall 75.68 152.74 109.30 Bristol, City of UA 80.01 144.82 108.90 Leicester UA 73.63 153.86 108.39 Colchester 65.11 168.87 108.14 Eastbourne 60.20 177.42 107.57 Barnet 75.29 148.85 107.51 Taunton Deane 60.16 177.30 107.50 West Berkshire UA 62.46 171.68 107.23 Chichester 63.43 169.15 107.03 Rushcliffe 58.07 178.22 106.22 Solihull 69.74 153.97 105.82 Derby UA 70.71 151.63 105.58 Dacorum 61.41 168.79 105.42 Bolsover 50.44 193.45 105.19 Fylde 54.20 183.20 104.88 St. Helens 65.59 158.46 104.66 North Cornwall 55.73 178.97 104.66 Chelmsford 62.53 162.19 103.86 Blackpool UA 64.26 158.69 103.82 East Hampshire 56.67 173.93 103.66 Kings Lynn and West Norfolk 64.83 156.62 103.45

Motor neurone disease : SMR for each local authority (underlying cause) - sorted from highest to lowest, Males SMR Harborough 49.60 190.24 103.45 South Ribble 54.99 176.60 103.28 Luton UA 62.03 160.90 103.03 Richmond upon Thames 62.00 160.81 102.98 Gateshead 65.93 150.39 101.88 Teignbridge 61.12 158.53 101.51 Wigan 70.61 141.02 101.39 West Oxfordshire 52.25 176.62 101.11 Dudley 71.46 137.40 100.51 Corby 36.84 218.47 100.38 East Lindsey 62.77 151.64 100.16 Herefordshire, County of UA 64.53 147.20 99.71 Havant 56.60 160.82 99.03 Fareham 54.08 165.98 98.92 Wirral 70.48 134.36 98.66 Tamworth 39.55 202.72 98.39 Pendle 47.18 180.93 98.38 Doncaster 68.44 136.68 98.27 Waveney 57.13 157.04 98.08 Coventry 67.74 136.72 97.83 Oxford 52.07 167.24 97.80 Bury 59.61 150.70 97.58 Tandridge 46.76 179.33 97.52 Rushmoor 42.10 192.14 97.51 Leeds 76.97 121.18 97.23 Norwich 53.13 163.05 97.18 Bexley 62.79 143.23 97.02 Wakefield 67.70 133.84 96.67 Gedling 52.71 161.78 96.42 Ealing 63.03 139.15 95.64 Southwark 58.11 146.91 95.13 Wyre Forest 49.10 165.98 95.02 Bassetlaw 50.42 161.94 94.70 Hambleton 47.25 169.36 94.65 Harlow 40.68 185.66 94.22 Caradon 47.01 168.49 94.17 Sefton 65.52 130.84 94.08 Tendring 59.45 140.71 93.77 Rochdale 57.90 143.00 93.55 Chesterfield 47.90 161.91 92.69 Kingston upon Hull, City of UA 60.54 135.79 92.68 Harrow 57.35 141.63 92.66 Lincoln 42.32 175.70 92.56 Amber Valley 50.57 155.20 92.50 Scarborough 51.72 152.43 92.42 Swindon UA 54.69 145.83 92.27 East Dorset 50.29 154.34 91.98 Great Yarmouth 47.50 160.58 91.93 North Warwickshire 36.93 189.27 91.86 Stockport 62.69 129.42 91.67 Isle of Wight UA 55.03 142.74 91.41 Portsmouth UA 54.92 142.45 91.22 South Shropshire 33.30 197.50 90.74 York UA 55.23 139.64 90.42 Carlisle 46.71 157.90 90.39

Motor neurone disease : SMR for each local authority (underlying cause) - sorted from highest to lowest, Males SMR Eastleigh 46.65 157.70 90.28 Sunderland 60.82 128.68 90.14 Wealden 54.11 140.34 89.87 Carrick 46.42 156.93 89.84 Barnsley 57.14 132.71 89.19 Richmondshire 28.92 207.92 89.10 Croydon 60.04 127.03 88.99 North Wiltshire 47.31 151.92 88.84 New Forest 56.65 131.55 88.41 Exeter 44.06 157.94 88.27 East Staffordshire 43.98 157.66 88.11 Tunbridge Wells 43.90 157.34 87.94 Wycombe 50.26 142.80 87.93 St. Edmundsbury 43.87 157.24 87.88 Oldham 54.32 134.13 87.75 Stafford 47.87 146.91 87.56 West Lindsey 41.90 160.71 87.39 Hertsmere 41.88 160.63 87.35 North East Lincolnshire UA 50.78 139.56 87.17 Lambeth 51.65 137.72 87.14 Burnley 39.82 165.32 87.09 Medway UA 54.56 131.82 87.07 Winchester 44.94 151.92 86.97 Three Rivers 39.70 164.82 86.82 Suffolk Coastal 48.30 142.34 86.30 Birmingham 69.06 105.31 85.77 Cherwell 44.14 149.23 85.43 Manchester 59.07 117.96 84.81 Vale of White Horse 43.78 147.98 84.71 Staffordshire Moorlands 42.28 151.54 84.69 Lewisham 49.89 133.03 84.17 Runnymede 36.31 165.71 84.10 Middlesborough UA 44.57 143.15 83.71 South Lakeland 44.53 143.02 83.64 South Bucks 33.50 171.71 83.33 South Derbyshire 35.97 164.17 83.32 Harrogate 47.55 135.11 83.20 North West Leicestershire 37.97 157.63 83.04 Stoke-On-Trent UA 53.05 123.20 82.80 Stroud 42.78 144.63 82.80 Bedford 45.21 138.76 82.70 East Riding of Yorkshire UA 57.74 114.14 82.45 North Somerset UA 51.60 124.66 82.34 Sedgefield 37.62 156.20 82.28 Erewash 41.03 147.08 82.20 Rossendale 30.01 178.00 81.78 Canterbury 45.66 134.55 81.58 Darlington UA 39.06 149.79 81.45 Mansfield 38.87 149.07 81.06 Vale Royal 41.65 140.80 80.60 Wolverhampton 51.59 119.80 80.52 South Staffordshire 39.99 143.33 80.11 Wyre 42.48 136.41 79.77 Sedgemoor 41.20 139.27 79.73 South Bedfordshire 37.71 144.64 78.65

Motor neurone disease : SMR for each local authority (underlying cause) - sorted from highest to lowest, Males SMR Ashford 37.69 144.57 78.61 Nuneaton and Bedworth 39.21 140.53 78.54 Trafford 47.85 120.98 78.33 Sutton 43.67 128.69 78.02 Chorley 35.67 148.11 78.02 Salford 47.62 120.39 77.95 Newcastle-under-Lyme 40.07 135.45 77.54 Bolton 48.98 115.93 77.26 East Northamptonshire 31.03 159.06 77.20 Test Valley 36.83 141.23 76.80 Lewes 38.20 136.91 76.52 Lancaster 40.72 130.76 76.47 Barking and Dagenham 40.65 130.55 76.35 Swale 37.75 135.33 75.63 Basingstoke and Deane 38.99 131.80 75.45 Ryedale 27.65 163.99 75.34 Hyndburn 30.24 154.99 75.22 Redbridge 45.07 116.91 74.86 Cambridge 31.97 145.90 74.05 Breckland 39.11 125.59 73.44 Boston 26.86 159.28 73.18 Liverpool 51.15 101.11 73.03 Greenwich 40.61 119.69 72.57 Reading UA 34.28 131.46 71.48 Malvern Hills 30.85 140.80 71.46 Merton 37.75 121.22 70.89 North Lincolnshire UA 38.76 118.94 70.89 Basildon 37.65 120.91 70.70 Hounslow 38.56 118.33 70.52 Sandwell 44.97 104.42 70.18 Broxbourne 28.20 144.53 70.15 Tameside 40.86 112.30 70.14 Peterborough UA 36.15 122.21 69.96 Sevenoaks 33.28 127.64 69.41 Cannock Chase 27.81 142.54 69.18 Telford and Wrekin UA 34.31 122.99 68.74 Haringey 35.46 119.86 68.62 Redcar and Cleveland UA 35.00 118.31 67.73 Maldon 21.89 157.38 67.44 Tewkesbury 27.07 138.77 67.35 North Dorset 24.50 145.32 66.77 Calderdale 37.31 109.96 66.67 Rochford 26.80 137.35 66.66 Welwyn Hatfield 28.27 129.01 65.48 Hammersmith and Fulham 29.48 122.41 64.48 Wychavon 30.88 118.45 64.41 West Dorset 30.66 117.59 63.94 Brentwood 23.43 138.95 63.84 Kensington and Chelsea 30.37 116.47 63.33 Enfield 37.37 99.64 63.05 Tynedale 20.13 144.70 62.01 Allerdale 26.67 121.72 61.78 Brent 34.20 100.80 61.11 Bracknell Forest UA 22.21 131.74 60.53 Rotherham 35.73 95.28 60.29

Motor neurone disease : SMR for each local authority (underlying cause) - sorted from highest to lowest, Males SMR Lichfield 23.84 122.21 59.31 Macclesfield 30.31 102.45 58.65 Shepway 25.23 115.12 58.43 Tower Hamlets 26.48 109.96 57.92 South Holland 23.15 118.66 57.59 Mid Sussex 26.25 108.98 57.41 Hackney 25.89 107.47 56.61 Adur 18.32 131.68 56.43 South Northamptonshire 17.37 124.85 53.50 Westminster 24.00 92.06 50.06 Ellesmere Port and Neston 16.17 116.24 49.81 Crawley 14.71 105.76 45.32 Mid Bedfordshire 16.58 98.35 45.19 Wandsworth 21.62 82.90 45.08 Rugby 14.53 104.46 44.76 St. Albans 14.60 86.56 39.77 Epping Forest 10.41 74.85 32.08

Motor neurone disease : SMR for each local authority (mentions) sorted from highest to lowest, Males SMR Melton 118.73 349.88 212.14 Hartlepool UA 129.51 295.42 200.12 Newark and Sherwood 123.84 262.03 183.55 East Hertfordshire 117.02 250.94 174.73 South Oxfordshire 116.59 243.63 171.63 Elmbridge 114.41 242.08 169.57 Alnwick 76.66 318.30 167.67 Stevenage 95.12 270.26 166.43 Blyth Valley 98.60 262.93 166.36 North Shropshire 92.59 272.87 165.44 Hart 93.49 256.97 160.49 Mendip 102.79 234.46 158.83 Tonbridge and Malling 97.90 231.74 154.44 Castle Morpeth 81.91 263.04 153.82 Ipswich 96.82 220.86 149.61 Kennet 85.49 242.91 149.58 North Devon 94.45 223.56 148.99 Watford 81.44 249.95 148.97 Halton UA 92.93 224.51 148.29 North Hertfordshire 92.40 214.59 144.22 Christchurch 80.63 237.63 144.08 Fenland 87.56 221.37 143.34 High Peak 84.70 225.87 142.91 Mid Suffolk 87.19 220.43 142.73 Kingston upon Thames 92.19 210.28 142.45 Mole Valley 85.23 221.08 141.57 Berwick-upon-Tweed 56.85 291.37 141.41 Derwentside 83.50 222.67 140.89 Northampton 97.42 196.62 140.70 Waverley 90.66 206.80 140.09 Uttlesford 76.43 234.55 139.79 West Wiltshire 90.13 205.59 139.27 Epsom and Ewell 76.01 233.29 139.04 Forest of Dean 79.73 219.14 136.87 East Devon 96.34 188.63 136.85 Dartford 75.94 223.80 135.69 Rutland UA 54.23 277.94 134.90 Bath and North East Somerset UA 93.14 186.00 133.73 North East Derbyshire 82.36 203.39 133.05 Forest Heath 63.73 244.43 132.92 Bradford 103.84 164.46 131.58 Rother 84.80 193.43 131.04 Ribble Valley 65.39 234.37 130.99 Bromsgrove 77.33 206.21 130.48 Shrewsbury and Atcham 78.51 203.65 130.41 Southampton UA 90.62 179.15 129.40 Wansbeck 66.64 225.27 128.96 Charnwood 84.58 186.75 128.35 North Norfolk 84.45 186.46 128.15 East Cambridgeshire 69.94 214.65 127.93 Windsor and Maidenhead UA 81.96 190.33 127.92 Reigate and Banstead 80.64 190.87 127.21 Redditch 65.73 222.19 127.20 Hastings 72.50 206.00 126.85 Worcester 70.92 209.01 126.72

Motor neurone disease : SMR for each local authority (mentions) sorted from highest to lowest, Males SMR Kettering 69.03 211.86 126.27 Spelthorne 72.69 199.80 124.79 Restormel 76.07 192.33 124.53 Babergh 72.18 198.38 123.90 Salisbury 77.62 187.53 123.86 Chiltern 71.65 196.93 122.99 Camden 79.44 181.21 122.76 Teesdale 39.80 286.10 122.60 Eastleigh 73.76 191.32 122.51 Barrow-In-Furness 65.19 209.37 122.44 Newham 79.91 179.24 122.33 Gloucester 72.47 193.25 122.27 Selby 65.05 208.91 122.17 Kerrier 73.29 190.09 121.73 South Somerset 82.34 172.06 121.21 Hinckley and Bosworth 71.76 191.36 121.08 Eastbourne 73.40 185.57 120.16 Congleton 68.58 194.84 119.98 Arun 82.73 166.97 119.48 Ashfield 71.87 186.41 119.37 Waltham Forest 79.31 172.49 119.35 Derbyshire Dales 65.24 200.23 119.34 Cheltenham 71.84 186.33 119.32 Bridgnorth 57.17 219.25 119.22 South Cambridgeshire 74.62 180.27 119.07 Broadland 76.28 177.15 119.06 Thurrock UA 72.70 183.80 119.01 Preston 72.70 183.80 119.01 Oadby and Wigston 57.02 218.67 118.91 Aylesbury Vale 75.65 175.69 118.08 Crewe and Nantwich 71.01 184.18 117.94 Pendle 64.48 197.89 117.94 Wear Valley 58.81 210.80 117.81 Bromley 87.41 155.27 117.77 Chester-Le-Street 53.78 223.27 117.61 Torbay UA 78.01 169.67 117.40 Gosport 60.54 204.65 117.15 Wokingham UA 72.35 178.67 116.88 North Kesteven 69.27 184.71 116.87 Copeland 60.37 204.09 116.83 Dacorum 73.21 176.86 116.82 Tandridge 63.65 195.34 116.42 Braintree 71.96 177.71 116.26 Leicester UA 82.61 158.83 116.18 Havering 82.36 158.35 115.83 Maidstone 73.41 173.75 115.80 Daventry 57.66 206.66 115.50 Southend-On-Sea UA 77.31 165.78 115.43 Cotswold 65.92 187.28 115.33 Weymouth and Portland 59.53 201.23 115.20 Stratford-On-Avon 71.16 175.74 114.96 Kirklees 87.15 148.37 114.77 Newcastle upon Tyne 82.05 155.13 114.34 Barnet 83.39 152.99 114.34 Guildford 69.74 176.32 114.17

Motor neurone disease : SMR for each local authority (mentions) sorted from highest to lowest, Males SMR Plymouth UA 80.70 156.55 114.05 Stockton-On-Tees UA 74.95 165.47 113.73 Bournemouth UA 76.95 160.80 113.28 Walsall 81.15 153.43 113.09 Torridge 58.35 197.24 112.91 South Kesteven 69.87 172.55 112.88 South Tyneside 73.59 165.07 112.66 South Gloucestershire UA 79.25 155.18 112.58 Bassetlaw 66.63 177.67 112.42 South Norfolk 70.40 170.08 112.34 Durham 59.62 191.47 111.97 Woking 59.55 191.25 111.84 Worthing 67.28 174.53 111.76 Thanet 72.09 164.43 111.39 Warrington UA 73.99 160.93 111.35 Rochdale 74.26 159.24 110.88 Huntingdonshire 69.47 167.83 110.85 St. Helens 72.90 160.96 110.63 Blackburn with Darwen UA 65.22 173.93 110.05 West Lancashire 63.98 175.85 109.83 St. Edmundsbury 62.41 177.32 109.19 Craven 52.34 200.75 109.16 Hillingdon 75.03 153.10 109.01 Milton Keynes UA 69.01 163.35 108.86 Vale of White Horse 64.44 171.85 108.73 Islington 65.46 169.80 108.73 South Bedfordshire 61.89 175.85 108.29 South Hams 61.74 175.43 108.03 West Oxfordshire 60.43 178.09 107.98 Bolsover 55.78 188.55 107.94 Runnymede 55.67 188.18 107.73 Purbeck 49.15 204.08 107.51 Easington 60.15 177.25 107.47 Luton UA 68.02 161.01 107.30 Knowsley 65.31 165.12 106.91 Broxtowe 62.09 170.65 106.58 Harborough 54.96 185.78 106.35 Brighton and Hove UA 74.40 147.10 106.25 Gedling 62.88 167.67 106.09 Sheffield 83.63 132.46 105.98 Sunderland 75.99 143.67 105.90 Surrey Heath 52.71 188.93 105.59 Chesterfield 60.34 171.45 105.57 Havant 64.49 163.04 105.57 Blackpool UA 68.17 155.49 105.33 West Devon 48.11 199.76 105.23 Penwith 54.14 183.02 104.77 Scarborough 63.96 161.71 104.71 Bury 67.75 154.55 104.69 Chester 62.99 163.38 104.62 Oswestry 38.36 227.51 104.53 North Tyneside 70.19 148.50 104.02 Kings Lynn and West Norfolk 67.86 152.22 103.89 Rushcliffe 59.34 168.60 103.82 Fylde 56.75 174.17 103.81

Motor neurone disease : SMR for each local authority (mentions) sorted from highest to lowest, Males SMR Chelmsford 64.66 156.22 103.19 Wirral 76.32 136.40 103.17 East Staffordshire 57.64 169.87 102.99 Derby UA 70.52 143.91 102.47 Wigan 73.45 138.88 102.37 Blaby 54.50 175.01 102.35 Sedgefield 54.33 174.49 102.04 Amber Valley 60.32 160.85 101.78 Richmond upon Thames 63.75 154.02 101.73 Leeds 81.71 123.19 100.88 Nottingham UA 69.85 140.97 100.88 Chichester 61.44 155.33 100.58 Oldham 66.67 145.00 100.33 South Staffordshire 57.31 162.83 100.27 Dudley 72.56 133.13 99.49 Bexley 67.09 141.96 99.44 Gravesham 52.82 169.63 99.20 Wycombe 61.29 151.36 99.02 Horsham 58.59 156.23 98.86 Stockport 70.10 133.64 98.14 Poole UA 62.04 146.85 97.87 Warwick 57.99 154.65 97.85 Gateshead 64.99 141.36 97.81 Harrogate 61.17 147.78 97.61 West Berkshire UA 57.83 154.22 97.58 Taunton Deane 55.70 158.26 97.45 Colchester 59.50 150.43 97.40 East Lindsey 62.68 142.97 96.85 Canterbury 59.84 147.78 96.68 Hertsmere 51.44 165.19 96.60 Doncaster 68.76 131.08 96.26 Wealden 61.64 143.14 96.20 North Cornwall 52.43 160.90 95.90 Coventry 68.01 130.76 95.65 Barnsley 64.46 136.38 95.53 South Ribble 52.22 160.26 95.51 Wyre Forest 51.98 159.53 95.08 Dover 54.34 154.39 95.07 Teignbridge 58.85 145.33 95.07 Lancaster 57.23 148.45 95.06 Mid Devon 47.41 169.94 94.97 Caradon 50.49 162.16 94.83 Bristol, City of UA 69.84 125.61 94.73 Broxbourne 47.24 169.33 94.64 Kingston upon Hull, City of UA 64.22 134.19 94.54 Wakefield 67.79 128.17 94.47 Norwich 53.88 153.09 94.27 Rushmoor 43.07 178.83 94.21 Solihull 62.44 135.82 93.97 Basildon 57.02 144.17 93.35 Waveney 55.91 145.01 92.86 Swindon UA 57.21 141.29 92.43 Nuneaton and Bedworth 51.53 151.85 92.07 Herefordshire, County of UA 60.46 133.49 91.74 Lambeth 57.30 138.42 91.43

Motor neurone disease : SMR for each local authority (mentions) sorted from highest to lowest, Males SMR Burnley 45.45 162.90 91.04 Stafford 53.02 145.74 91.02 Bedford 53.93 143.82 91.00 Fareham 50.71 149.45 90.61 Sedgemoor 51.76 147.06 90.56 New Forest 60.54 129.82 90.40 North Warwickshire 38.95 177.77 90.22 South Shropshire 36.25 185.77 90.16 Southwark 56.22 135.81 89.70 West Lindsey 46.35 156.69 89.70 Isle of Wight UA 56.20 135.77 89.67 Oxford 48.98 150.31 89.58 Sefton 63.63 122.35 89.50 Tunbridge Wells 47.27 151.82 88.78 Wyre 51.69 142.08 88.74 East Hampshire 48.49 148.80 88.69 Newcastle-under-Lyme 50.60 143.75 88.52 Tameside 57.26 130.60 88.47 Hambleton 45.63 154.26 88.31 Ealing 58.94 126.38 88.00 North East Lincolnshire UA 53.60 135.51 87.74 Lincoln 42.02 161.17 87.64 Redbridge 57.16 128.20 87.50 Trafford 56.82 127.46 86.99 Birmingham 71.26 104.88 86.87 Harrow 54.86 129.84 86.53 Cambridge 43.19 154.79 86.51 Corby 31.65 187.70 86.24 Wolverhampton 57.94 122.60 85.88 Portsmouth UA 53.04 130.99 85.69 Ryedale 36.89 168.35 85.44 Tamworth 34.24 175.48 85.16 Barking and Dagenham 49.54 136.15 85.04 Sandwell 58.86 118.79 85.01 Tynedale 36.64 167.22 84.86 Great Yarmouth 45.12 144.89 84.73 East Riding of Yorkshire UA 60.96 113.47 84.24 Croydon 57.65 117.65 83.77 Carlisle 44.54 143.04 83.65 Salford 53.98 123.12 83.40 Mansfield 42.99 145.31 83.18 Erewash 44.25 142.11 83.10 East Dorset 46.51 137.07 83.10 Sevenoaks 45.42 139.40 83.08 Suffolk Coastal 48.36 132.92 83.01 Middlesborough UA 46.38 136.68 82.87 Manchester 59.15 112.77 82.81 Carrick 43.96 141.17 82.55 Tendring 52.83 122.68 82.45 North Lincolnshire UA 49.64 128.75 82.44 Lewes 44.99 138.08 82.29 Three Rivers 39.43 151.23 82.23 Tewkesbury 39.36 150.96 82.09 Exeter 42.42 143.39 82.08 North Wiltshire 44.77 137.40 81.89

Motor neurone disease : SMR for each local authority (mentions) sorted from highest to lowest, Males SMR Medway UA 52.43 121.75 81.83 Liverpool 60.03 108.66 81.71 South Bucks 35.19 160.58 81.50 York UA 50.12 123.76 80.96 Harlow 34.87 159.12 80.75 Bolton 53.60 116.58 80.66 Rotherham 53.47 116.29 80.46 South Derbyshire 36.78 152.73 80.45 Winchester 42.76 137.34 80.31 Lewisham 48.88 123.59 80.03 Stoke-On-Trent UA 52.54 115.99 79.72 North Somerset UA 51.50 117.47 79.58 Staffordshire Moorlands 40.94 138.41 79.23 Merton 46.14 126.82 79.21 South Holland 38.48 137.92 77.08 Breckland 43.95 124.86 76.89 Swale 40.80 131.04 76.63 South Lakeland 41.90 128.58 76.63 Darlington UA 38.23 137.03 76.58 Stroud 40.74 130.84 76.51 Richmondshire 24.75 177.92 76.24 Malvern Hills 36.43 139.70 75.97 Basingstoke and Deane 41.50 127.36 75.90 Kensington and Chelsea 41.45 127.21 75.82 Sutton 43.97 120.84 75.47 Vale Royal 39.87 128.04 74.88 Hyndburn 31.77 145.00 73.59 Hounslow 42.79 117.61 73.46 Reading UA 37.91 128.14 73.35 Cherwell 37.87 128.00 73.28 Lichfield 35.02 134.32 73.04 Boston 29.25 149.91 72.76 Redcar and Cleveland UA 40.66 119.84 72.66 Test Valley 36.18 129.68 72.47 North West Leicestershire 32.54 135.10 71.17 Rossendale 25.80 153.02 70.30 Greenwich 40.92 112.48 70.25 Peterborough UA 38.20 117.24 69.87 Maldon 25.50 151.20 69.47 Haringey 37.68 115.64 68.92 Calderdale 40.58 108.20 68.46 Ellesmere Port and Neston 29.53 134.78 68.40 Shepway 34.03 121.98 68.17 Hammersmith and Fulham 33.73 120.89 67.56 Chorley 30.75 127.68 67.26 Ashford 32.18 123.42 67.11 Adur 26.88 137.76 66.86 Brent 40.05 103.88 66.52 East Northamptonshire 26.56 136.15 66.08 Allerdale 31.67 121.48 66.06 North Dorset 26.53 135.97 65.99 Enfield 41.29 99.74 65.88 Rochford 28.13 128.38 65.16 West Dorset 33.51 113.29 64.86 Telford and Wrekin UA 33.39 112.89 64.62

Motor neurone disease : SMR for each local authority (mentions) sorted from highest to lowest, Males SMR Brentwood 25.58 131.13 63.64 Welwyn Hatfield 28.70 119.14 62.76 Wandsworth 35.25 100.15 61.67 Bracknell Forest UA 24.47 125.41 60.87 Wychavon 30.26 108.47 60.62 Cannock Chase 23.98 122.93 59.66 Hackney 29.67 106.33 59.43 Tower Hamlets 26.48 101.54 55.21 South Northamptonshire 20.25 120.06 55.16 Mid Sussex 26.14 100.27 54.52 Macclesfield 28.91 92.86 54.30 Westminster 26.55 89.73 51.37 Crawley 17.01 100.89 46.36 Mid Bedfordshire 18.22 93.40 45.33 St. Albans 15.97 81.84 39.72 Rugby 12.42 89.30 38.27 Epping Forest 12.06 71.52 32.86